The Agency Risk Management (Arm) Division Is Helping The

The Agency Risk Management (ARM) Division is helping the Condemnation Review Board (CRB) and the Right-of-Way (ROW) Division Chief with their Tomahawk condemnation case risk assessment process. Establishing the Risk Context The ARM established the risk context for the Tomahawk case. One of the main objectives of the Department is the construction of roads and bridges for safety traffic. Sometimes, it will need to acquire right-of-way involving adjacent parcels to develop projects. These acquisitions create a risk context that would affect other aspects of the project such as scope, budget, schedule, and quality. In addition, an early impact to the schedule would affect the stakeholders and the team involved in the project development.†¦show more content†¦This means that the Starr Avenue will cross under the freeway profile; the drivers on the freeway will be able to full view the parcel without any impediment. This condition eliminates the misunderstood assumption. Please see the attached exhibit A. Another important assumption in the evaluation is that the parcel in the after-condition losses access from the north and from the west side of the parcel due to the required drainage permanent eas ement (PE). Both of the above-mentioned assumptions are important because Anderson based the after-condition severance damages on them, as explained later on this memo. On February 24, 2017, the CRB met with the ARM, AGO, and the OPC to discuss the Tomahawk case. The objective was to decide between the full and partial take of the parcel. The appraisal was analyzed including the assumptions mentioned above. Considering the lack of visibility (misunderstood assumption) and lack of access assumptions the severance damages were calculated at 75% of the underlying unit price ($15.00/sf), which means that the Remaining cost of the parcel is 25% of $15.00/sf ($3.75/sf) . At that time, the AGO and CRB recommended the full take due to the simplicity of the process. Their reasoning on this recommendation was that the cost of the full take was 14% higher than the partial take cost. With this recommendation, the NDOT could avoid the risk of having further parcel associated claims from the parcel owner. As a follow up itemShow MoreRelatedFactors Affecting Community Policing4682 Words   |  19 PagesCHAPTER ONE: INTRODUCTION 1.1 BACKGROUND Community policing is a policing strategy and philosophy based on the notion that community interaction and support can help control crime and reduce fear, with community members helping to identify suspects, detain offenders, bring problems to the attention of police, or otherwise target the social problems which give rise to a crime problem in the first place. Community policing is a philosophy that promotes organizational strategies that support theRead MoreNorthrop Grumman ( A Company4000 Words   |  16 Pagesfor Foreign Governments throughout the world, most notably Saudi Arabia and Jordan in the middle east, and Colombia and Paraguay in South America. Some of its major products and services are outlined below: Major Products and Services Airspace Management C4/air Defense Combat Avionics Communications Defensive System Electro-optical Systems Intelligence Surveillance Reconnaissance Land Combat Laser Systems Marine and Naval Systems Material Handling and Auto. Defense Ship Building CommercialRead MoreCountrywide Subprime Lending Crisis4911 Words   |  20 Pagesthe leader in nearly every aspect of real estate finance. Diversity: Countrywide is America s #1 Lender to Minorities. The company is commited to the Hispanic, Asian, and African American markets and continues to build a diverse workforce and management team. Performance: Countrywide has been one of the best performing financial services companies in the past 25 years and is ranked #91 in the Fortune 500. A summary of the company s history can be divided into the following eras: 1969-1984Read MoreBear Sterns Rise and Fall4779 Words   |  20 Pages Bear Stearns began to be involved in securitization and issued lot amounts of mortgage-backed securities (MBS). One of Bear Stearns profit centers was a small hedge fund division, ran it by Ralph R. Cioffi, that was part of the firm s relatively small asset management business known as BSAM (Bear Stearns Asset Management). Cioffi raised two hedge funds, the Bear Stearns High-Grade Structured Credit Fund (using a 35x leverage) and the Bear Stearns High-Grade Structured Credit Enhanced LeveragedRead MorePower Duties of a Social Worker4076 Words   |  14 Pagessince he retired. She has eleven grandchildren, but she cannot remember their names. He moved in with her after she left the gas on twice and let a stranger into the house. He fells she could benefit from re-housing since a stroke affecting her left arm and leg means she struggles with the stairs and with bathing, and recently she has begun to become incontinent at night. On the other hand, she still tends to her antiques with great care. He is also concerned that she is still managing her large accountRead MoreProblems Facing the Pharma ceutical Industry and Approaches to Ensure Long Term Viability14741 Words   |  59 PagesOrganizational Dynamics Programs Problems Facing the Pharmaceutical Industry and Approaches to Ensure Long Term Viability Donald A. Baines University of Pennsylvania, djtz00@aol.com Submitted to the Program of Organizational Dynamics in the Graduate division of the School of Arts and Sciences in Partial Fulfillment of the Requirements for the Degree of Master of Science in the Organizational Dynamics at the University of Pennsylvania Advisor: Richard Bayney This paper is posted at ScholarlyCommons. http://repositoryRead MoreEssay on Profession Issues in Counselling Person Centred12506 Words   |  51 Pagesexplore them, with the possibility of making them easier to understand.†(BACP Guidelines 2010) Oxford dictionary definition of counselling:A person trained to give guidance on personal or psychological problems. â€Å"counselling is a helping process with the overriding aim of helping clients to help themselves† (Richard Nelson-Jones 1989). â€Å"counselling is a collaborative relationship between client and a trained counsellor and by incorporating theory, research and practice counsellor’s aim is to accomplishRead MoreDeveloping Rural F inance in India3738 Words   |  15 PagesFinancial Development, Micro finance, Agricultural Credit, Gross Domestic Product, Economy, Nabard, Acronym: NABARD: IFAD: SDC: RBI: RRB: SIDBI: National Bank for Agricultural and Rural Development International Fund for Agriculture Development Swiss agency for development and Cooperation Reserve Bank of India Regional Rural Banks Small Industries Development Bank of India 3. Objective of Study: The main objective is to study importance of developing rural financial systems. To study the impact of variousRead MoreCase Study Pepsi9679 Words   |  39 Pagesdew,etc..The company consists of: Frito-Lay Company, the largest manufacturer and distributor of snack chips; Pepsi-Cola Company, the second largest soft drink business and Tropicana Products. In order to promote their pepsi brand, the marketing division of the company has been able to utilize different marketing strategy in order to competitive in the market place. PepsiCo, Inc. is one of the most successful consumer products companies in the worldRead MoreInternational Business in Bangladesh- an Investment Destination in South Asia5955 Words   |  24 Pagesfactors and the competitive environment. Operations: †¢ Objectives: sales expansion, resource acquisition, risk minimization Means: †¢ Modes: importing and exporting, tourism and transportation, licensing and franchising, turnkey operations, management contracts, direct investment and portfolio investments. †¢ Functions: marketing, global manufacturing and supply chain management, accounting, finance, human resources †¢ Overlaying alternatives: choice of countries, organization and control

My Views On My Sexuality - 962 Words

The thought of not being able to openly talk about my sexuality seemed like it would be easy, especially since my boyfriend is away at recruit training in South Carolina to be a United States Marine. Since he is away I thought I would not be tempted in any way, shape, or form into talking about him or our relationship. This assignment proved that keeping quiet was harder than I thought, and therefore unsuccessful at every attempt. There seemed to always be one short moment where I would slip and start talking about my relationship with friends and family that knew me well, and were curious as to how things were going. During my attempts at keeping silent I felt as though I oppressed myself from speaking about something I did not want to hide. It was not a good feeling at all. During the periods of silence that I did get to experience, I always found that even though I did not talk about my sexuality, I always thought about it. I would think about how I should not reveal myself to any one for the assignments sake. That mere thought alone made me quickly empathize with those who identify as a lesbian, gay, bisexual, or transgender (LGBT), especially those who are still in the closet and for whatever reasons they have chosen not to come out, but must desperately want to. Even those who openly identify as LGBT have to be more cautious around people who are totally against homosexuality. The constant thought of being judged and discriminated against just because one does notShow MoreRelatedMy Views On Sexuality And Its Effect On The Representation Of Masculinity1237 Words   |  5 Pageson the concept of attraction on multiple levels that extend beyond sexuality and a stronger discussion of the reoccurring traits seen in gay male youth. I know we’ll be touching on homosexuality and masculinity later in the semester, so I will try to avoid breaking into that. Instead I will focus my interests in the idea of attractions and what effects this could have on the r epresentation of masculinity. My goal is to expand my own understanding of the ways in which boyhood is changed through theRead MoreCourse Affects on My Views Regarding Sexuality Essays1407 Words   |  6 Pagesthink to be an unorthodox view regarding sexuality and the way that the physical union between husband and wife reflects our relationship with God. It was freeing to be confirmed in my open exploration and beliefs. It was liberating to apply areas of Penner’s readings to my marriage. It is good to introduce freshness to a marriage along the way and even more so as the years go by. I am challenged to new levels and depths of biblical thinking regarding sex and sexuality. The Crooks and Baur textRead MoreMy Family Unspoken Rules Of Sexual Behavior And Parental View Of Sexuality Essay1934 Words   |  8 PagesFor this activity, I examined my families’ spoken and unspoken rules and their ideas about sexual behaviors. These instructions include rules of sexuality in both public and the private. In every household, rules are varied depending on the family’s background, ethnicity, belief, and personal/cultural value. While many instructions are being established within our home, there are also the unspoken rules that each member of the family must obey. The unspoken family rules are the expectations fromRead MoreMy Parent s Relationship With My Parents1674 Words   |  7 Pagescourse of my parent’s relationship as I was growing up has a lot to do with how I view relationships; but aside from my parents, my mother’s family had a lot to do with some of the norms and values that I have today in regards to sexual relationships and sexuality. Along with learning about sexual relationships based on the view of my family, I also learned and have been affected in my adult life about gender roles as well. My parents were my main source of learning about relationships. My parentsRead MoreHuman Sexuality And Its Effects On Children And Young People Understand1309 Words   |  6 Pagesmade of the role of human sexuality, yet little has been said about the importance of learning about human sexuality. Sex has been the same since time began, and we cannot continue to ignore the reality of what children are being exposed to. Being educated about these topics, being educated, in general is important to me. Education is what will help this world with inequalities, and so many other problems. Human sexuality has become one of the topics that have caught my attention because no matterRead MoreEssay about The Making of You as a Student1438 Words   |  6 Pagesagricultural town, I can say with certainty that my school was one of mostly ‘Conservative’ orientation, but with an undercurrent of ‘Liberal’. I believe this largely influenced my identity, and led to a specific construction of child (Jones, 2011). This essay will discuss how a predominantly ‘Conservative’ orientation unintentionally shaped my childhood and adolescence, affected my views and expectations of sex and gender, and formed my idea of sexuality. I attended a Co-Educational Catholic SchoolRead MoreSexuality Education : An Important And Compulsory Part Of The New Zealand ( Nz ) Curriculum1640 Words   |  7 PagesSexuality education is an important and compulsory part of the New Zealand (NZ) Curriculum. Sexuality education is important so young people can feel empowered about their sexuality and make positive informed decisions. Sexuality education across the country follows a similar outline regulated by the Ministry of Education (MoE) but different students have various experiences and learn different knowledge of sexuality in schools. I went to a religious all-girls school and throughout this assignmentRead MoreThe Oppression Of Opposite Sex Sexuality And Relationships860 Words   |  4 PagesJournal Heterosexism is the oppression of opposite-sex sexuality and relationships. In our society heterosexuals is the normal and those who do not fit into this category are shunned. Throughout history, â€Å"homosexuality and bisexuality have been called many things; from sin, sickness, and crime, to orientation, identity and even a gift from God.† (372). Labels and judgments are justifications for society to marginalize people due to their sexuality. Our society tends to look for ways to justify homosexualityRead MoreFemale Sexuality 1162 Words   |  5 PagesThe female sexuality plays the very important role in both DRACULA and MAXIMUM GAGA. They both talk about the virginity and dissoluteness in female sexuality, but have different views about it. In DRACULA, only virginity is accepted; dissoluteness is completely intolerable. Stoker thinks virginity is very precious, and he want the readers know that women will be punished for being lascivious, so each female character has dif ferent ending in terms of their virginity. In MAXIMUM GAGA, Lara didn’t giveRead MoreThe Importance Of Studying The Relationships And Subject Formations1688 Words   |  7 PagesAmerican, bisexual female studying at a historically black college. In my household, according to society I would be labeled as the middle class. I have no preferences other than Christianity for my religion. Growing up I always lived in predominantly white communities, I’ve always attended in predominantly white schools, and I have a regular American name. So by being African American I always had to prove myself to people. My mother always had this mindset that since I am a female, an African American

Spondylolisthesis Essay Research Paper UNDER THE KNIFE free essay sample

Spondylolisthesis Essay, Research Paper UNDER THE KNIFE OF SPONDYLOLISTHESIS Imagine you are sitting in a physician s office waiting for a study on your status. Your symptoms are hurting that spreads across your lower dorsum that doesn T travel off, cramps that stiffen the dorsum and fasten the hamstrings, and numbness in the lower appendages. Upon scrutiny and after X raies, the physician sits down in the room and tells you of a status you have called spondylolisthesis. Spondylolisthesis # 8230 ; .. ? ? ? What is that # 8230 ; .. ? ? ? Spondylolisthesis is the forward slippage of one vertebra on the vertebrae beneath it. This forward slippage can be the consequence of many causes and is classified based on the ground for the faux pas ( American Academy for Orthopaedic Surgeons, p 1 ) . Most instances of the disease occur in the low lumbar spinal column with the most common spinal degrees being either L5-S1 or L4-L5. Depending on the cause of the disease, it can be classified as one of six different types. The types are inborn, isthmic, degenerative, traumatic, pathological, and post-surgical. When faced with spondylolisthesis the inquiry of how to cover with the status arises. The options to handle the status are little in figure. One can either take conservative intervention or a more extremist determination of surgery. Here our contention arises: to hold surgery or to take another path. This is a much more hard determination than it may look due to the fact that most of the paths come to a dead terminal. Conservative interventions merely alleviate the symptoms ; they do non rectify the slippage. We should now travel on to the different types of spondylolisthesis, their symptoms, and their interventions. CONGENITAL This signifier of spondylolisthesis is caused by an abnormalcy of the castanetss of the spinal column. An person is born with an abnormalcy of the arch in dorsum of the spinal column. This abnormalcy most commonly occurs at the L5-S1 degrees of the spinal column and normally includes the articulations that connect one vertebra to another at the dorsum of the spinal column. These articulations are called facet articulations ( Ullrich, p 1 ) . Due to the nature of the castanetss, the normal ability of the spinal column to maintain proper alliance is lost as vertebral organic structure of L5 slips frontward on S1. As diagnostic engineering has improved ( MRI s and CT Scans ) this one time thought rare happening is going identified more and more with each new promotion in the field. Two orthopaedic governments, Winter A ; Moe, cite a per centum of 14-21 % of all instances of spondylolisthesis are caused by an unnatural bone formation known as dysplasia. In most patients, this becomes ap parent in the adolescent old ages. Normally the patient the patient has or has had a history of hyperextension activities. The most common include gymnastic exercises, association football, football lineman, diving, weight lifting, and volleyball. Most striplings with spondylolisthesis are symptomless ( without symptoms ) and unpainful. However, the most common cause for back hurting in striplings is spondylolysis and listhesis ( Ullrich, p 1 ) . Back hurting is the most common ailment, but leg hurting ( or sciatica ) is besides really common. A patient with leg hurting may hold impaired ability to raise the pes and large toe due to steel root encroachment. A patient may walk with a foot bead but this happening is a rare 1. If the faux pas has occurred at a different degree in the spinal column, a different form of hurting, numbness, and failing will happen. A thorough scrutiny with X raies will uncover different findings depending on the badness of the faux pas. Most kids with this signifier of spondylolisthesis most normally have tight hamstrings. Other findings will depend on the sum of slippage and are best founded by a qualified doctor. As there are different interventions for this we will travel over each one individually. The first line of intervention includes: 1 ) remainder, activity alteration, and anti-inflammatories. Patients, who may be involved in hyperextension activities, should stop any of those activities. In add-on, exercisings such as hamstring stretching should be introduced to alleviate musculus cramp and supply hurting alleviation. Physical Therapy for abdominal strengthening should be involved to assist stabilise the nomadic junction for secondary support. Even though some low-grade faux pas instances may better with these conservative steps the job still remains unsolved. Although these few may experience improved, these conservative steps will non alter the position of the faux pas. 2 ) Another intervention is through poising. A brace can be used with patients who have an acute status, important hurting, or those who haven t shown betterment through other steps. The brace can either be a thoraco lumbar sacral orthosis or can include a thigh turnup. The device limits the gesture in the country of hurt. It allows the tissues to mend without excess redness while increasing hurting alleviation. The thigh turnup reduces lumbosacral gesture when locked by immobilising the pelvic girdle. 3 ) A degree Celsius ast can go the following degree of intervention ; it includes the organic structure and one or both legs. It is successful in immobilising the constructions around the injured country and thereby provides greater support. 4 ) Surgery is the last pick in the intervention procedure. In-patients with faux pass from 0-50 % , merger of the one degree involved is normally undertaken. Fusion is the adhering together of two or more castanetss to do one bone. In higher-grade faux pass, two degrees normally are required for merger ( Ullrich, p 1 ) . Surgery of this nature requires a hospital stay of 2-4 yearss followed by a rehabilitation plan after which the patient will return to normal map within 6-9 months. Success rate of this surgery rank at 97 % . The patient farther benefits from the facet of surgery by holding the status wholly eliminated instead than merely covering with the symptoms. ISTHMIC Isthmic spondylolisthesis is caused by a defect in a portion of the bone called the pars interarticularis. The pars bone connects the upper articulation of one vertebra to the lower articulation ( Ullrich, p 2 ) . Due to this pars defect, the vertebrae are allowed to steal frontward out of its alliance. This normally occurs with L5 stealing over S1. Isthmic spondylolisthesis is normally caused by a stress break of the pars. This status can be painful in itself even without the slippage. This break is thought to happen due to insistent emphasis through the pars. The type of emphasis occurs when one bends backwards. Normally the patient is born with some minor abnormalcy of the pars, which can lend to the episode of the break. The symptoms and intervention of isthmic spondylolisthesis is the same as the inborn signifier. DEGENERATIVE This signifier of spondylolisthesis is a forward slippage due to arthritis of the spinal column. Stenosis ( a narrowing of the canals, which carry the spinal nervousnesss ) is extremely associated with this type. The cause in which the vertebrae slips is as follows: foremost, as the phonograph record in forepart of the spinal column ages it loses H2O and loses some of its ability to defy gesture. As a consequence, the articulations addition in size and develop excess soft tissue and bone to counterbalance. The tissue and bone so impinges on the nervus roots and really weaken the articulations in the dorsum of the spinal column. This causes the slippage. Due to all the constructions and articulations in the dorsum of the spinal column being integral and no preexistent dysplasia, the sum of slippage is limited by the bony restraints. The most common part for this type is L4-L5 part. The ground being, L5-S1 has secondary restraints maintaining slippage at lower limit. Symptoms that exis t are once more low back hurting and jobs with numbness in the lower appendages. Conservative steps of intervention consist of: activity limitations, medicines, injections, brace, or physical therapy. All of these conservative steps may do the patient feel better, but it is merely dissembling a job that can non be fixed through this intervention. The 2nd option is surgery to rectify the slippage through merger of the two vertebrae together. Surgery, as above, corrects the alliance of the slippage thereby alleviating all symptoms and reconstructing map without limitation. TRAUMATIC Traumatic spondylolisthesis is a faux pas of a vertebrae caused by a break in the spinal column, normally at a facet articulation. This type presents with the same symptoms of all types above every bit good as intervention. PATHOLOGICAL This type is caused by devastation of the posterior facet of the spinal column through either a tumour or infection or unnatural bone such as in osteoporosis. The break of the bone allows the slippage ( Ullrich, p 2 ) . This is rare type that may affect chemotherapy and other medical intercessions. POST-SURGICAL This signifier of spondylolisthesis is the rarest of all types due to such a high success rate in all surgeries performed. This job merely occurs in 3 % of all surgeries including malpractice. In this instance the surgery does non execute as it should and the patient must hold the job solved in another mode. In decision, although most patients fear traveling under the knife, the result is normally a successful 1. A patient must take into consideration all options and discourse them with their medical physician before doing any determinations. However, from reappraisal of the information in this study, surgery may be the best option for a big portion of the population with this disease. When you consider the thought that one can return to normal map after surgery, why non take the dip? Caution must be taken when doing any sort of medical determination in a headlong mode. There are ever options to be considered since all instances a different. Spondylolisthesis can be a devastating and life altering disease if non handled in a proper mode. However, with careful intervention and a dedicated patient, one can return to degrees of old map.